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Palma Real

1220 Loop 459, Mathis, Texas 78368

Overview

Palma Real has a Medicare overall rating of 5 out of 5, above the Texas average of 2.8. It is the only Medicare-rated nursing home in Mathis. It scores best on quality of care (5 of 5) and lowest on staffing (2 of 5).

Residents receive about 3.3 hours of nursing care per day, more than at 54% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.

Its most recent standard inspection, on June 9, 2026, found 7 health deficiencies, fewer than the Texas average of 9.6. 1 of them came from complaint investigations. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.

Palma Real is a for-profit facility with 90 certified beds, caring for about 47 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1994.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles6th of 70 facilities

Top 9%

In Texas76th of 1,166 facilities

Top 7%

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Inspections and penalties

Most recent standard inspection
June 9, 2026
Health deficiencies cited
7
Complaint-related deficiencies
1
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.33 hrs
  • Registered nurses (RN)0.40 hrs
  • Licensed practical nurses (LPN)1.38 hrs
  • Nurse aides1.55 hrs
  • Physical therapists0.09 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
90
Average residents per day
47
Participates in
Medicare and Medicaid
Medicare/Medicaid since
May 11, 1994
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Both
Sprinklers in all required areas
Yes